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Amin, Andi Nurzakiah
Universitas Negeri Makassar
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Institutional Alignment and Policy Gaps in Adolescent Maternal Healthcare: A Health Administration Perspective on Reproductive Service Delivery Amin, Andi Nurzakiah; Dian Anggraeni Rachman; Samsiana
Journal of Scientific Insights Vol. 3 No. 3 (2026): Available online
Publisher : Science Tech Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69930/jsi.v3i1.730

Abstract

Adolescent maternal healthcare remains a critical challenge in many health systems, particularly in ensuring effective service delivery amid complex administrative and policy environments. This study aims to examine the influence of institutional alignment and policy gaps on service delivery performance from a health administration perspective. A quantitative approach was employed using Partial Least Squares Structural Equation Modeling (SEM-PLS) with data collected from 215 healthcare professionals, including midwives, nurses, physicians, and healthcare administrators. The measurement model evaluation confirmed satisfactory validity and reliability, with all constructs meeting the required thresholds. The structural model results revealed that institutional alignment has a significant positive effect on service delivery performance (β = 0.45, p < 0.001), while policy gaps have a significant negative effect (β = −0.38, p < 0.001). Additionally, institutional alignment significantly reduces policy gaps (β = −0.52, p < 0.001), indicating a mediating relationship. The model explains 62% of the variance in service delivery performance (R² = 0.62), demonstrating substantial explanatory power. These findings indicate that improving healthcare performance requires not only strong institutional alignment but also the reduction of policy implementation gaps. This study highlights the importance of an integrated governance approach to enhance the effectiveness, accessibility, and quality of adolescent maternal healthcare services.
The Role of Psychosocial and Cultural Factors in Adolescent Reproductive Health Literacy in Sinjai Regency Andi Nurzakiah Amin; Ismi Sultan
Hayyan Journal Vol. 3 No. 2 (2026): June
Publisher : Education and Talent Development Center of Indonesia (ETDC Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51574/hayyan.v3i2.5221

Abstract

Adolescent reproductive health literacy in Indonesia remains a critical issue, particularly in rural areas such as Sinjai Regency, South Sulawesi. Despite national programs like Pusat Informasi dan Konseling Remaja (PIK-R), gaps persist in integrating psychosocial and cultural dimensions into health education. This study aims to analyze the role of psychosocial and cultural factors in shaping adolescent reproductive health literacy, using an interdisciplinary approach that combines public health, psychology, and socio-cultural analysis. A qualitative descriptive design with a case study approach was employed between September and December 2025. Data were collected from 60 respondents (40 adolescents, 10 parents, and 10 health workers) through semi-structured interviews, focus group discussions (FGDs), and direct observation at schools and Posyandu remaja. Thematic analysis was used to identify recurring patterns, supported by triangulation to ensure validity. The findings reveal three dominant themes: psychosocial readiness, socio-cultural norms, and community-based interventions. Psychosocial factors such as confidence, emotional openness, and peer influence determined adolescents’ willingness to engage in reproductive health education. Socio-cultural norms, including religious values and family expectations, acted as both enablers and constraints, while community leaders served as cultural gatekeepers. Community-based interventions, particularly those involving peers, families, and respected leaders, were found to legitimize and sustain adolescent participation. In conclusion, adolescent reproductive health literacy in Sinjai is shaped by the interaction of psychosocial readiness and socio-cultural acceptance, legitimized through community-based interventions. Effective strategies must therefore integrate psychosocial empowerment, cultural sensitivity, and community participation to enhance knowledge, reduce stigma, and ensure sustainability in health promotion efforts.
Co-Authors Abdul Rahman Abdul Rahman Agus Sutriawan Andi Atssam Mappanyukki Andi Mustika Amin Andi Ulfiana Fitri Azniah Syam Dian Anggraeni Rachman Dian Anggraeni Rachman Fahrizal Fahrizal Faizal Erlangga Makawi Fitriana Haeril Harfah, Nurfalia Imelda Iskandar Inanna, Inanna Ismaniar, Nur Inayah Ismi Sultan Jasmin Ambas Mahendri Deayu Putri Muhammadong Multhazam, Riana Musni Nur Inayah Ismaniar Nurfalia Harfah Nurl Fajriah Istiqamah Putri, Mahendri Deayu Romansyah Sahabuddin Samsiana . Sri Rezkiani Kas Sulolipu, Andi Annisa Supri Tawe, Andi Amiruddin Wahyudin Widyaningsih, Yasinta Indah Yahya, Nurul Fajriah Yulita Sirinti Pongtambing Zulkarnain, Muhammad Qadafi